■ Do not repair a spleen if it is not bleeding.
■ When performing splenic repair early in one's experience, choose the right patient. This generally is a young patient with few other life-threatening injuries.
■ Do not accept blood loss while performing the repair - if you cannot quickly stem major hemorrhage, remove the spleen.
■ If the patient continues to bleed postoperatively, reoperate promptly.
■ When performing ligation of a branch of the splenic artery, or indeed the main artery and splenic vein, do not divide the short gastric vessels.
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For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.